View Entire Collection
By Clinical Topic
By State Requirement
Diabetes – Summer 2012
Future of Nursing Initiative
Heart Failure - Fall 2011
Influenza - Winter 2011
Nursing Ethics - Fall 2011
Trauma - Fall 2010
Traumatic Brain Injury - Fall 2010
Fluids & Electrolytes
WEDNESDAY, Nov. 3 (HealthDay News) -- Women 80 years of age and older appear to be at high risk for inappropriate urinary catheter (UC) utilization in the emergency department, according to a study published in the November issue of the American Journal of Infection Control.
In a 12-week retrospective observational study, Mohamad G. Fakih, M.D., of St. John Hospital and Medical Center in Grosse Pointe Woods, Mich., and colleagues evaluated UC utilization in all admissions from the emergency department.
The investigators found that 532 of 4,521 patients evaluated had a UC placed, including 371 (69.7 percent) that were indicated and 312 (58.6 percent) that had a physician's order documented. The mean age of the patients who had a UC placed without an indication (71.3 years) was higher than the mean age of those with an indication (60.0 years) and those who did not have a UC placed (56.2 years). Multivariate logistic regression revealed that women were 1.9 times more likely than men to have a UC placed without an indication. In addition, patients ≥80 years of age were 2.9 times more likely than those aged ≤50 years to have a UC placed without an indication.
"Multiple approaches are needed to reduce inappropriate utilization, including avoiding the placement of unnecessary UCs and evaluation for continued need for a UC after transfer from the emergency department to intensive and non-intensive care units," the authors write.
The study was supported by a Blue Cross Blue Shield of Michigan Foundation Grant.
Full Text (subscription or payment may be required)
Sign up for our free enewsletters to stay up-to-date in your area of practice - or take a look at an archive of prior issues
Join our CESaver program to earn up to 100 contact hours for only $34.95
Explore a world of online resources
Back to Top